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In recent years, overall consumption of meat products has been decreasing, and at the same time vegetarianism is on the rise. A variety of factors are likely driving changes in consumers' attitudes towards, and consumption of, meat products. Although concern regarding animal welfare may contribute to these trends, growing consumer

In recent years, overall consumption of meat products has been decreasing, and at the same time vegetarianism is on the rise. A variety of factors are likely driving changes in consumers' attitudes towards, and consumption of, meat products. Although concern regarding animal welfare may contribute to these trends, growing consumer interest in the roles that production and processing of meat play in terms of environmental degradation could also impact individuals' decisions about the inclusion of meat in their diets. Because these factors could be related to moral attitudes as well, the purpose of this study was to explore the relations among meat consumption, general environmental attitudes, and moral `foundations' of decision-making, including concern about minimizing `harm' and maximizing `care,' as well as issues of `purity' and `sanctity.' A survey was conducted among current college students using the New Ecological Paradigm scale and the Moral Foundations Questionnaire to assess environmental and moral attitudes. A food frequency questionnaire was used to assess meat consumption. Multiple linear regression analyses explored the relations of environmental and moral attitudes with meat consumption, controlling for potential confounding variables. The results showed no significant correlations among meat consumption, environmental attitudes or moral foundations of harm/care and purity/sanctity.
ContributorsSpringer, LeeAnn (Author) / Wharton, Christopher (Christopher Mack), 1977- (Thesis advisor) / Hekler, Eric (Thesis advisor) / Ohri-Vachaspati, Punam (Committee member) / Hall, Rick (Committee member) / Arizona State University (Publisher)
Created2013
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The increase in obesity since the 1980's has been associated with fast-food consumption. In hopes that calorie labeling will be an effective tool to combat obesity, congress included a provision in the Patient Protection and Affordable Care Act of 2010 (ACA) that will require all restaurants with twenty or more

The increase in obesity since the 1980's has been associated with fast-food consumption. In hopes that calorie labeling will be an effective tool to combat obesity, congress included a provision in the Patient Protection and Affordable Care Act of 2010 (ACA) that will require all restaurants with twenty or more locations to post calorie information for each menu item. Current research has provided mixed results regarding the effectiveness of calorie labeling, but overall seems to suggest that calorie labeling may only be effective among certain populations. In September, 2012 McDonald's began to post calorie labels on their menu boards before it was federally mandated under the ACA. This policy provided the opportunity to study the impact of calorie labeling on the purchasing behavior of McDonald's patrons. This cross-sectional study was designed to determine if self-perception of diet, self-perception of health, smoking, physical activity, fruit and vegetable intake, or knowledge of daily calorie requirements is associated with the likelihood of noticing or using calorie labels, or total calories purchased. In addition, relationships between noticing or using calorie labels with total calories purchased were also examined. Receipts and survey responses were collected from 330 participants who purchased food and beverage items from 27 different McDonald's locations within a 20 mile radius of downtown Phoenix, Arizona. Results indicated that only 16.1% of the sample reported using calorie labels, and those who reported using calorie labels purchased an average of 136 fewer calories. Multivariate analysis indicated there were no statistically significant relationships between self-perception of diet, self-perception of health, smoking, physical activity, fruit and vegetable intake, or knowledge of daily calorie requirements with the likelihood of noticing or using calorie labels, or total calories purchased. However, it is possible that the small sample size of participants using calorie labeling precluded any statistically significant relationships among these variables from emerging. Further research with larger sample sizes should be conducted, to investigate individual level factors that may be associated with use of calorie labeling.
ContributorsBrown, Alan (Author) / Ohri-Vachaspati, Punam (Thesis advisor) / Bruening, Meredith (Committee member) / Wharton, Christopher (Christopher Mack), 1977- (Committee member) / Arizona State University (Publisher)
Created2013
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Objective: Increasing fruit/vegetable (FV) consumption and decreasing waste during the school lunch is a public health priority. Understanding how serving style of FV impacts FV consumption and waste may be an effective means to changing nutrition behaviors in schools. This study examined whether students were more likely to select, consume,

Objective: Increasing fruit/vegetable (FV) consumption and decreasing waste during the school lunch is a public health priority. Understanding how serving style of FV impacts FV consumption and waste may be an effective means to changing nutrition behaviors in schools. This study examined whether students were more likely to select, consume, and waste FV when FVs were cut vs. whole. Methods: Baseline data from the ASU School Lunch Study was used to explore associations between cut vs. whole FV serving style and objectively measured FV selection, consumption, and waste and grade level interactions among a random selection of students (n=6804; 47.8% female; 78.8% BIPOC) attending Arizona elementary, middle, and high schools (N=37). Negative binomial regression models evaluated serving style on FV weight (grams) selected, consumed, and wasted, adjusted for sociodemographics and school. Results: Students were more likely to select cut FVs (IRR=1.11; 95% CI: 1.04, 1.18) and waste cut FVs (IRR=1.20; 95% CI: 1.04, 1.39); however, no differences were observed in the overall consumption of cut vs. whole FVs. Grade-level interactions impacted students’ selection of FVs. Middle school students had a significantly higher effect modification for the selection of cut FVs (IRR=1.18; p=0.006) compared to high school and elementary students. Further, high school students had a significantly lower effect modification for the selection of cut FVs (IRR=0.83; p=0.010) compared to middle and elementary students. No other grade-level interactions were observed. Discussion: Serving style of FV may impact how much FV is selected and wasted, but further research is needed to determine causality between these variables.
ContributorsJames, Amber Chandarana (Author) / Bruening, Meredith (Thesis advisor) / Adams, Marc (Thesis advisor) / Koskan, Alexis (Committee member) / Arizona State University (Publisher)
Created2021
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Background: Sugars form advanced glycation end products (AGEs) throughnatural metabolism and interactions with proteins, lipids, and nucleic acids, which accumulate in tissues and have been implicated in the etiology of chronic diseases. Due to the increased consumption of fructose and its high ability to form AGEs, a further understanding of

Background: Sugars form advanced glycation end products (AGEs) throughnatural metabolism and interactions with proteins, lipids, and nucleic acids, which accumulate in tissues and have been implicated in the etiology of chronic diseases. Due to the increased consumption of fructose and its high ability to form AGEs, a further understanding of this association is important to clarify the role of sugars in disease. The objective was to explore the association between usual fructose intake and serum levels of AGEs, as measured by carboxymethyl-lysine (CML) and methylglyoxal derivative (MG-H1), in healthy adults. Methods: This is a secondary analysis of a 15-d controlled feeding study (n=100) with participants consuming their usual diet conducted in the Phoenix metropolitan area. To assess participants’ usual diet, they were asked to complete two 7-d food diaries, which were then used to create custom 15-d menu plans administered during the feeding period. Forty participants were selected based on their 15-d mean total fructose intake for this analysis [top and bottom 20% of the sample distribution (median, IQR); high fructose (HF) n= 20, 72.6 (66.1-90.4) g/day, low fructose (LF) n= 20, 28.8 (22.7-32.2) g/day. Fasting serum collected five weeks after the feeding period were analyzed for CML and MG-H1, two well-established AGEs, using ELISA kits. A database of 549 common foods with known CML amounts was used to calculate exogenous CML intake based on daily food intake data. A general linear model was fitted to investigate the difference in serum CML and MG-H1 between LF and HF groups while adjusting for age, gender, BMI, and exogenous CML intake. Results: Participants in the HF group had significantly higher serum CML and lower MG-H1 levels compared to participants in the LF group (p=0.013 and p=0.002, respectively). This difference remained statistically significant after adjusting for covariates. Conclusions: The findings suggest that endogenous CML formation may be an explanation for the significantly higher serum CML levels in the HF compared to the LF group. This is significant in further understanding mechanisms of fructose intake and disease etiology and could have implications for at-risk populations consuming a high fructose diet.
ContributorsWeigand, Bethany (Author) / Tasevska, Natasha (Thesis advisor) / Sweazea, Karen (Committee member) / Lee, Chong (Committee member) / Arizona State University (Publisher)
Created2021
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Background: The USDA Fresh Fruit and Vegetable Program (FFVP) provides accessibility, variety, and nutrition education to increase exposure to fresh F/V to school children. The aim of this study examines Arizona FFVP’s nutrition education frequency and delivery in relation to the effects by the COVID-19 pandemic for SY 2019-2020, SY

Background: The USDA Fresh Fruit and Vegetable Program (FFVP) provides accessibility, variety, and nutrition education to increase exposure to fresh F/V to school children. The aim of this study examines Arizona FFVP’s nutrition education frequency and delivery in relation to the effects by the COVID-19 pandemic for SY 2019-2020, SY 2020-2021, and SY 2021 - 2022. Methods: A retrospective cross-sectional analysis of 57 Arizona school food managers (FSM) (and alike positions) (N=143; n=57; 18%(10) used Spanish; 82%(47) used English; FFVP site-level FSM = 81%(41); FFVP Non-FSM = 19% (11); 88% (50) rural; 12%(7) urban) during SY2019 – 2020, SY2020 – 2021, and SY2021 - 2022. Participants were surveyed for their perspective of FFVP service, nutrition education, and partnerships. The statistical analysis used quantitative and qualitative content variables presented as percentages. Results: Nutrition education were consistently delivered twice a week. FFVP service delivered most commonly 2 days/week (TF1 at 63% (26); TF2 at 59% (20),TF3 at 54% (19); TF 4 at 53% (19)). FFVP nutrition education was most frequently delivered 2days/week (TF1 at 55% (18); TF2 at 55% (18); TF3 at 54% (15); TF4 at 54% (20)). Teachers were most responsible for delivering nutrition education weekly in classrooms TF1 at 55%(21), TF2 at 44%(16), TF3 at 38% (15), TF4 at 45%. Most frequent method to select nutrition education was based on produce served that week (TF1 at 40% (23), TF2 at 36% (21), TF 3 at 39% (21),TF4 at 40% (24)) and day TF1 at 37% (21), TF2 at 36% (21), TF3 at 35% (19), TF4 42% (25). Conclusion: FSM and alike positions are important to FFVP services. Arizona FFVP schools were able provide consistent nutrition education even through a nationwide school closure caused by COVID-19 pandemic.
ContributorsBlackhorse, Kimberly (Author) / Bruening, Meredith (Thesis advisor) / Grgich, Traci (Committee member) / Zuck, Jessica (Committee member) / Arizona State University (Publisher)
Created2022
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High fiber diets have been associated with improved cardiometabolic health with specific efforts to lower circulating levels of low-density lipoprotein (LDL cholesterol). Whole grain and grain-based foods are major contributors of dietary fiber in the American diet, of which wheat has been extensively studied. Corn, however, has not been well

High fiber diets have been associated with improved cardiometabolic health with specific efforts to lower circulating levels of low-density lipoprotein (LDL cholesterol). Whole grain and grain-based foods are major contributors of dietary fiber in the American diet, of which wheat has been extensively studied. Corn, however, has not been well studied for its cholesterol-lowering properties. Further, the mechanisms by which grains improve cardiometabolic health require further exploration with regard to the human microbiome. The objective of this single-blind randomized controlled, crossover trial was to assess the impact of three different corn flours (whole grain, refined, and bran-enhanced refined flour mixture) on serum LDL cholesterol and the gut microbiota diversity and composition. Twenty-three participants were recruited, between the ages of 18-70 with hypercholesterolemia (Male = 10, Female = 13, LDL >120 mg/dL) who were not taking any cholesterol-lowering medications. Participants consumed each flour mixture for 4 weeks prepared as muffins and pita breads. At the beginning and end of each 4-week period serum for cholesterol assessment, anthropometrics, and stool samples were obtained. Serum cholesterol was assessed using a clinical analyzer. Stool samples were processed, and microbial DNA extracted and sequenced based on the 16S rRNA gene. A generalized linear model demonstrated a significant treatment effect (p=0.016) on LDL cholesterol and explained a majority of the variance (R-squared= 0.89). Post hoc tests revealed bran-enhanced refined flour had a significant effect on cholesterol in comparison to whole grain flour (p=0.001). No statistically significant differences were observed for gut microbial community composition (Jaccard and weighted Unifrac) after corn consumption. However, relative abundance analysis (LEfSE) identified Mycobacterium celatum (p=0.048 FDR=0.975) as a potential marker of post-corn consumption with this microbe being differentially less abundant following bran-enhanced flour treatment. These data suggest that corn flour consumption may be beneficial for individuals with hypercholesterolemia but the role of gut microbiota in this relationship requires further exploration, especially given the small sample size. Further research and analysis of a fully powered cohort is needed to more accurately describe the associations and potential mechanisms of corn-derived dietary fiber on circulating LDL cholesterol and the gut microbiota.
ContributorsWilson, Shannon L (Author) / Whisner, Corrie M (Thesis advisor) / Sears, Dorothy (Committee member) / Buman, Matthew (Committee member) / Dickinson, Jared (Committee member) / Zhu, Qiyun (Committee member) / Arizona State University (Publisher)
Created2022
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Vitamin D is a nutrient that is obtained through the diet and vitamin D supplementation and created from exposure to Ultraviolet B (UVB) radiation. While there are many factors that determine how much serum 25-hydroxyvitamin D (25(OH)D) concentration is in the body, little is known about how genetic variation in

Vitamin D is a nutrient that is obtained through the diet and vitamin D supplementation and created from exposure to Ultraviolet B (UVB) radiation. While there are many factors that determine how much serum 25-hydroxyvitamin D (25(OH)D) concentration is in the body, little is known about how genetic variation in vitamin D-related genes influences serum 25(OH)D concentrations resulting from daily vitamin D intake and exposure to direct sunlight. Previous studies show that common genetic variants rs10741657 (CYP2R1), rs4588 (GC), rs228678 (GC), and rs4516035 (VDR) act as moderators and alter the effect of outdoor time and vitamin D intake on serum 25(OH)D concentrations. The objective of this study is to analyze the associations between serum 25(OH)D concentrations resulting from outdoor time and vitamin D intake, and genetic risk scores (GRS) established from previous studies involving single nucleotide polymorphisms (SNP) located on or near genes involving vitamin D synthesis, transport, activation, and degradation in 102 Hispanic and Non-Hispanic adults in the San Diego County, California. This study is a secondary analysis of data from the Community of Mine study. Global Positioning System (GPS) data collected by the Qstarz GPS device worn by each participant was used to measure outdoor time, a proxy measurement for sun exposure time. Vitamin D intake was assessed using two 24-hour dietary recalls. Blood samples were measured for serum 25(OH)D concentrations. DNA was provided to assess each participant for the various genetic variants. Adjusted analyses of the GRS and serum 25(OH)D concentrations showed that individuals with high GRS (3-4) had lower serum 25(OH)D concentrations than individuals with low GRS (0-2) for both Nissen GRS and Rivera-Paredez GRS.
ContributorsAnderson, Heather Ray (Author) / Sears, Dorothy (Thesis advisor) / Alexon, Christy (Committee member) / Dinu, Valentin (Committee member) / Jankowska, Marta (Committee member) / Arizona State University (Publisher)
Created2022
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Studies show that having greater weight-for-length in infancy and obesity in childhood can lead to obesity in adolescence and adulthood. Reducing obesity risk factors may decrease one’s chance of developing obesity. This longitudinal observational study’s objective was to investigate longitudinal associations of infant nighttime sleep proportion with gut microbiome diversity

Studies show that having greater weight-for-length in infancy and obesity in childhood can lead to obesity in adolescence and adulthood. Reducing obesity risk factors may decrease one’s chance of developing obesity. This longitudinal observational study’s objective was to investigate longitudinal associations of infant nighttime sleep proportion with gut microbiome diversity and taxa abundance (n=30). Fecal samples, sleep diaries and sleep actigraphy were taken at 3 and 8 weeks, and 3, 6, 9, and 12 months during infancy. Diversity analysis was completed in Quantitative Insights Into Microbial Ecology 2 (QIIME 2.0) in conjunction with PERMANOVA tests for group comparisons. QIIME2 diversity plug-ins were used to calculate alpha diversity (Shannon index) and beta diversity (Unweighted UniFrac distance) metrics. Percent abundance values for bifidobacteria and lactobacillus were exported at the genus level for subsequent analyses. Mixed linear models (MLM) and Adonis multiple regression analyses were used to test for significant (alpha = 0.05) effects of nighttime sleep fraction on alpha and beta diversity metrics and abundance of specific microbial taxa. All statistical models accounted for individual effects (baby/subject ID), time, and a time*sleep fraction interaction. For aim 1, the regression model was: Shannon = baby + time + sleep fraction + time*sleep fraction. The overall regression was statistically significant (R2 = 0.518, F = 3.9576, p < 0.0001). Nighttime sleep proportion did not significantly predict gut microbiome richness in infants (β = 0.281, p = 0.8603). For aim 2, when adjusting for covariates in a multiple regression model, sleep fraction was insignificant. The R2= 0.005106, F= 0.810996, p=0.619). For aim 3, the fitted regression models were Bifidobacteria/Lactobacillus= baby + time + sleep fraction + time*sleep fraction. The overall regression for Bifidobacteria was statistically significant (R2 = 0.371944, F = 2.6286, p = 0.0008) but nighttime sleep proportion did not significantly predict Bifidobacteria abundance in infants (β = -54.40518, p = 0.2723). The overall regression for Lactobacillus was statistically significant (R2 = 0.236381, F = 1.8687, p = 0.0208) but sleep fraction was not associated with taxa abundance. Further research is needed to describe associations between sleep, gut microbiome, and the distal outcome of obesity.
ContributorsGross, Tav (Author) / Whisner, Corrie (Thesis advisor) / Sears, Dorothy (Committee member) / Petrov, Megan (Committee member) / Arizona State University (Publisher)
Created2024
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Background: Despite research aimed at understanding the mechanisms of metabolic syndrome (MetS), this prevalence continues to rise. Recent literature indicates that dietary fiber may offer prevention and management of MetS in various studies involving human and animal subjects. Objective: This six-week study aimed to test the efficacy of a novel

Background: Despite research aimed at understanding the mechanisms of metabolic syndrome (MetS), this prevalence continues to rise. Recent literature indicates that dietary fiber may offer prevention and management of MetS in various studies involving human and animal subjects. Objective: This six-week study aimed to test the efficacy of a novel fiber-rich complex in young male Sprague-Dawley rats by examining the effects on high-fat diet-induced weight gain, adiposity, high blood sugar, lipid imbalance, and oxidative stress. Methods: 24 six-week-old male Sprague Dawley rats were randomly assigned into three diet groups (regular chow, high-fat, or high-fat + fiber) and fed for six weeks. Blood from the animals was collected at weeks 0, 3, and 6 for fasting blood glucose (FBG) analysis and at weeks 0 and 6 for lipid profile assessment. Body mass was weighed weekly. Organ mass, nasoanal, and tail length were measured at week 6. Findings were considered significant at p-value < 0.05. Data collected at week 6 were analyzed by one-way ANOVA, whereas data collected at multiple time points were analyzed by two-way ANOVA with diet and time as factors. Student-Newman-Keuls posthoc analyses were used to compare differences between and within groups. Results: No significant differences were found in the size of rats fed each diet as measured by tail length (p = 0.599) or nasoanal length (p = 0.875). Abdominal circumference was not significantly different (p = 0.477). There were no significant differences between groups in fasting whole blood HDL cholesterol (p = 0.297), fasting whole blood HDL triglycerides (p = 0.624), plasma total triglycerides (p = 0.137), or beta-hydroxybutyrate (p=0.185) after six weeks of each dietary treatment. Similarly, plasma true triglycerides and free glycerol were not significantly different between groups (p = 0.148 and 0.529, respectively). Thiobarbituric acid reactive substances (TBARS) were also not significantly different between groups (p = 0.412). Conclusion: The addition of the novel fiber-rich complex did not significantly affect high-fat diet-induced weight gain, adiposity, high blood sugar, lipid imbalance, or oxidative stress in this experimental design.
ContributorsLing, Jingyu (Author) / Sweazea, Karen (Thesis advisor) / Sears, Dorothy (Committee member) / Kim, Min-Hyun (Committee member) / Arizona State University (Publisher)
Created2024
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Healthy lifestyle behaviors including quality nutrition have been shown to successfully prevent chronic disease or minimize symptoms. However, many physicians lack the knowledge and skills to provide adequate nutrition counseling and education for their patients. A major component of this problem is that medical schools are not required to

Healthy lifestyle behaviors including quality nutrition have been shown to successfully prevent chronic disease or minimize symptoms. However, many physicians lack the knowledge and skills to provide adequate nutrition counseling and education for their patients. A major component of this problem is that medical schools are not required to teach nutrition education. The purpose of this feasibility study was to compare the changes in the perceived importance of nutrition in the medical field in medical students before and after participating in a week-long interactive nutrition course in order to determine if a week-long course can positively influence students’ perceptions of nutrition. Ultimately by changing these perceptions, medical students may be able to better help patients prevent chronic disease. The participants were first year medical students at the Mayo Clinic School of Medicine (Scottsdale, AZ) who chose to participate in this medical school “Selective”. The study included a five-day curriculum of case-studies, lectures from specialized health professionals, and a cooking class led by a chef who trained in France. An anonymous pre- and post-study questionnaire with five-point Likert scale questions was used to measure changes in attitudes. The data suggest that students’ perceptions regarding the importance and relevance of nutrition in the medical shifted slightly more positive after attending this Selective, although these shifts in attitude were not statistically significant. Limitations of this study include a small sample size and selection bias, which may have decreased the potential of having significant results. Both of these factors also make the results of this study less generalizable to all medical students. This study supports the need for a larger experimental study of a similar design to verify that an interactive, evidence-based nutrition class and culinary experience increases medical students’ positive perceptions of nutrition in the medical field.
ContributorsBaum, Makenna (Author) / Johnston, Carol (Thesis advisor) / Levinson, Simin (Committee member) / Sears, Dorothy (Committee member) / Arizona State University (Publisher)
Created2020